Phacoemulsification versus manual small-incision cataract surgery for white cataract

Area of Science:

• Ophthalmology
• Surgical Techniques
• Cataract Surgery

Background:

• Cataract surgery is a common procedure to restore vision.
• White cataracts present unique surgical challenges.
• Phacoemulsification and manual small-incision cataract surgery (SICS) are prevalent techniques.

Purpose of the Study:

• To compare the safety and efficacy of phacoemulsification versus manual SICS for treating white cataracts.
• Evaluate visual outcomes, operative time, and complications in southern India.

Main Methods:

• A randomized prospective study was conducted at Aravind Eye Hospital, Pondicherry, India.
• Patients with white cataracts were assigned to either phacoemulsification or manual SICS.
• Surgical outcomes including visual acuity and complications were assessed.

Main Results:

• Both phacoemulsification and manual SICS yielded excellent visual results (CDVA ≥ 20/60 in >98%).
• Manual SICS demonstrated a significantly shorter operative time (8.8 vs. 12.2 minutes) and less postoperative corneal edema.
• Complication rates, including posterior capsule rupture, were low and comparable between groups.

Conclusions:

• Both phacoemulsification and manual SICS are safe and effective for white cataracts.
• Manual SICS offers advantages in speed and cost-effectiveness.
• Manual SICS may be a preferred technique for mature cataracts in resource-limited settings.